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1447839741
JACOB RUSSELL NELSON
KALAMAZOO, MI
NPI
1447839741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 4351047554)
Enumeration Date
2021-04-05
Last Update Date
2024-06-27
Business Address
JACOB RUSSELL NELSON MD
601 JOHN ST
KALAMAZOO, MI 49007-5341
Phone number: 866-898-7139
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Mailing Address
JACOB RUSSELL NELSON MD
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-2001
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